대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제25권2호
  • /
  • Pages.90-94
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  • 2024
  • /
  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Primary cutaneous mucinous carcinoma in a periorbital lesion: two case reports and literature review

  • Jun Woo Kim (Department of Plastic and Reconstructive Surgery, Daegu Catholic University School of Medicine) ;
  • Sung Eun Kim (Department of Plastic and Reconstructive Surgery, Daegu Catholic University School of Medicine)
  • 투고 : 2024.01.09
  • 심사 : 2024.04.14
  • 발행 : 2024.04.20
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초록

Primary cutaneous mucinous carcinoma (PCMC) is a rare malignancy of the sweat glands that most commonly affects the periorbital area. It is characterized by slow growth over a prolonged period, and its morphology can be easily confused with a benign tumor, such as an epidermal cyst. Consequently, many patients experience recurrence after undergoing multiple resections. However, there are few reports concerning the surgical management of PCMC. We present two cases of PCMC originating in the periorbital area. The first case involved a 76-year-old man with a mass measuring 3.0×1.5 cm that had been increasing in size. The second case was a 61-year-old man with two masses, each measuring 1.0×1.0 cm, that were also growing. Both patients underwent wide excision with a 5-mm safety margin, which was determined based on the widest view of the cross-section of the mass on the magnetic resonance imaging. Subsequently, based on the intraoperative frozen biopsy results, both patients underwent additional excision with a 5-mm safety margin in only one direction. This report shows that, when determining the surgical margin of PCMC in periorbital area, employing imaging modalities and intraoperative frozen biopsies can be helpful for narrowing the surgical margin.

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참고문헌

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